R 2015-340-E Aging - Sandra Smith for Senior Center instructor

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DocuSign Envelope ID: B74C4BF8-1 B92-4637-9851-557FEF99ODCE ORANGE COUNTY-DEPARTMENT USE ONLY Department E Party/Vendor Name: Sandra Smith Party/Vendor Contact Person: Contact Phone: Aging Party/Vendor Address: 114 Cheshire Drive City Hillsborough State: NC Zip: 27278 Department: Aging Amount: $990.00 Purpose: senior center instructor Budget Code(s): 10430120-629000 Vendor#61120 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2015 Approved by Board Yes❑Non Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature 5 flu- fi Date: 7/15/2015 B7E962D1BF454FA... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: I Office of the Chief Information Officer Date: F k Risk Management I is This agreement is approved for sufficiency of insurance standards,specifications,and requirements: ^--DocuSigned by: '' u Office of the Risk Management Officer allStU (hn e,l l0 Date: 7/15/2015 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned y: €. Office of the Chief Financial Officer r—NAL blti Date: 7/16/2015 232DFFC2CFA847B... i Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney Date: 7/16/2015 4035CB8304CA4A9... r Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg count n�c.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 10/14 4 r